| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,115 |
8,130 |
$1.92M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,340 |
4,771 |
$996K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,338 |
3,844 |
$838K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,073 |
2,343 |
$583K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
923 |
800 |
$508K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,656 |
1,478 |
$382K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
848 |
793 |
$262K |
| 70450 |
Computed tomography, head or brain; without contrast material |
725 |
657 |
$201K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
668 |
612 |
$141K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
748 |
582 |
$118K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
448 |
189 |
$114K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
1,176 |
1,098 |
$91K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,169 |
2,048 |
$77K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,135 |
807 |
$67K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
885 |
817 |
$64K |
| 80053 |
Comprehensive metabolic panel |
5,233 |
4,463 |
$42K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,245 |
4,484 |
$25K |
| 87430 |
|
1,652 |
1,542 |
$25K |
| 71046 |
Radiologic examination, chest; 2 views |
1,647 |
1,488 |
$24K |
| 80306 |
|
1,834 |
1,670 |
$24K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
901 |
316 |
$18K |
| 87503 |
|
856 |
792 |
$18K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,624 |
2,240 |
$18K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
54 |
52 |
$17K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
71 |
66 |
$16K |
| 81025 |
|
1,822 |
1,653 |
$13K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
211 |
120 |
$12K |
| 84484 |
|
1,969 |
1,466 |
$12K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
63 |
53 |
$12K |
| 85027 |
|
2,642 |
2,252 |
$11K |
| 84443 |
Thyroid stimulating hormone (TSH) |
944 |
872 |
$10K |
| 81001 |
|
3,834 |
3,374 |
$9K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,476 |
1,331 |
$9K |
| 87081 |
|
1,310 |
1,217 |
$8K |
| 83690 |
|
1,757 |
1,561 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
58 |
51 |
$8K |
| 83605 |
|
1,442 |
1,184 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
272 |
256 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
271 |
255 |
$7K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
284 |
142 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
176 |
169 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,715 |
2,346 |
$5K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
18 |
12 |
$5K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
242 |
221 |
$5K |
| 87631 |
|
41 |
40 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,445 |
2,803 |
$4K |
| 83880 |
|
305 |
280 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
1,771 |
1,616 |
$4K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
42 |
42 |
$4K |
| 87632 |
|
17 |
17 |
$4K |
| 80061 |
Lipid panel |
352 |
329 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
88 |
78 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
526 |
491 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
152 |
133 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
11,300 |
8,758 |
$3K |
| 83735 |
|
625 |
539 |
$2K |
| 85610 |
|
679 |
526 |
$2K |
| 85007 |
|
829 |
720 |
$2K |
| 73610 |
|
92 |
84 |
$2K |
| 73030 |
|
58 |
51 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
30 |
26 |
$2K |
| G0378 |
Hospital observation service, per hour |
20 |
17 |
$2K |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$1K |
| 82077 |
|
147 |
126 |
$1K |
| 73630 |
|
90 |
79 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
582 |
534 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
27 |
25 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
27 |
25 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,661 |
1,477 |
$968.05 |
| 73562 |
|
61 |
50 |
$930.88 |
| 0352U |
|
211 |
193 |
$891.63 |
| 84145 |
|
66 |
53 |
$706.14 |
| 81003 |
|
373 |
348 |
$695.84 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
14 |
14 |
$658.06 |
| 87040 |
|
129 |
65 |
$563.32 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
28 |
25 |
$523.71 |
| 86803 |
|
31 |
28 |
$371.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
15 |
15 |
$362.60 |
| 85379 |
|
53 |
50 |
$347.16 |
| 87481 |
|
14 |
14 |
$326.34 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
42 |
$302.51 |
| 87205 |
|
85 |
80 |
$278.96 |
| 87186 |
|
42 |
40 |
$277.14 |
| 82962 |
|
146 |
79 |
$253.10 |
| 88142 |
|
12 |
12 |
$243.07 |
| 86140 |
|
82 |
75 |
$235.35 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
464 |
367 |
$217.37 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,406 |
1,243 |
$201.22 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,898 |
1,669 |
$163.67 |
| 87905 |
|
15 |
15 |
$140.41 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,023 |
897 |
$133.19 |
| 87077 |
|
13 |
12 |
$100.20 |
| 84466 |
|
12 |
12 |
$92.26 |
| J2704 |
Injection, propofol, 10 mg |
825 |
533 |
$89.61 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,812 |
1,611 |
$82.49 |
| 87088 |
|
15 |
12 |
$76.52 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,830 |
2,254 |
$68.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
3,864 |
2,296 |
$62.61 |
| 83540 |
|
12 |
12 |
$46.83 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,881 |
1,624 |
$14.69 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
318 |
263 |
$10.01 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
56 |
52 |
$9.94 |
| 97803 |
|
15 |
12 |
$6.11 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
122 |
113 |
$5.77 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
52 |
38 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
37 |
28 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
30 |
27 |
$0.00 |